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Ann Intern Med: Review: Exercise therapy reduces fatigue in chronic fatigue syndrome

Discussion in 'Latest ME/CFS Research' started by Dolphin, May 19, 2016.

  1. Dolphin

    Dolphin Senior Member

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    No info freely available.
    Leading US medical Journal

    http://annals.org/article.aspx?articleid=2522407
     
  2. charles shepherd

    charles shepherd Senior Member

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    Hi Dolphin

    Do you know who has written this (currently unavailable) review?

    Charles
     
  3. Dolphin

    Dolphin Senior Member

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    Afraid I don't know anything about it. Given it only refers to exercise therapy and not, say, CBT my guess is that it is discussing the Cochrane review of exercise therapy for CFS.
     
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  4. Esther12

    Esther12 Senior Member

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    Edit error... there are two M Denman's.

    Looks like this is the one who writes for Annals of Internal Medicine:


    Michael Denman, MD
    Imperial College
    London, England, UK


    Wonder what new evidence he's been able to dig up.
     
    Last edited: May 19, 2016
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  5. halcyon

    halcyon Senior Member

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    What makes you think that's the author? I think it's a different person. There are papers going back to 2009 in the same journal from M. Denman. I don't see how a British med student would get published in that journal.
     
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  6. Esther12

    Esther12 Senior Member

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    Other papers by M Denman said that they were at Birmingham. It does seem a bit odd though. Maybe I'm wrong... caution for now! Edit: I was wrong.

    I now think this is the M Denman we want!

    Michael Denman, MD
    Imperial College
    London, England, UK
     
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  7. halcyon

    halcyon Senior Member

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    She does appear to be on the psych side of things so I wouldn't put it past her, but I'm guessing it's a different person.
     
  8. Esther12

    Esther12 Senior Member

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    She did a paper on choosing to specialise in psychiatry... but I was still wrong!

    You got in there just before I'd edited.

    I think this is the right M Denman.

    Michael Denman, MD
    Imperial College
    London, England, UK
     
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  9. Keith Geraghty

    Keith Geraghty Senior Member

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    I logged into AIM and all I see if part of a paper - I dont see the full review?

    It states there is no evidence of adverse outcomes with GET: given psyhotherapy (which is a lot less invasive) brings about a 1/20 long-term adverse outcome rate according to national surveys, we might expect a higher rate with an exercise therapy - however both PACE and this review posit that there are none. This does not tally with a range of patient surveys (including the ME Assocation 2015).

    There is a clear need for academic research to follow up a cross-section of patients who have undergone CBT and GET to assess harms or adverse outcomes, aswell as potential benefits.
     
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  10. Snow Leopard

    Snow Leopard Hibernating

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    Most likely... And as we know, the Cochrane review was not quite as positive as they have tried to make out...
     
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  11. Cheesus

    Cheesus Senior Member

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    This is odd as the Annals of Internal Medicine published an editorial last year which included the following statement:

    http://annals.org/article.aspx?articleid=2322808

    It's more equivocal than the language a member of Phoenix Rising might use, but it's a far cry from supportive.
     
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  12. Bob

    Bob

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    Full citation.

    Denman M. Review: Exercise therapy reduces fatigue in chronic fatigue syndrome. Ann Intern Med. 2016;164:JC55. doi:10.7326/ACPJC-2016-164-10-055
     
  13. Bob

    Bob

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    To confirm: the paper (opening post) is a short review by Michael Denman (Imperial College, London) of the 2016 Cochrane review of exercise therapy for chronic fatigue syndrome.
     
    Last edited: Jun 21, 2016
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  14. Dolphin

    Dolphin Senior Member

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    End:

    I agree with the point about the dose but this is not the traditional advice in exercise therapy programs for CFS.

    The reader is not given any reason why a patient might choose not to do an exercise program.
     
    Last edited: Jun 1, 2016

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